License holder summary

KAISER HEALTH PLAN MODESTO PHY 831 is a Pharmacies licensed to practice in California. The address on file for KAISER HEALTH PLAN MODESTO PHY 831 is 1625 I STREET MODESTO CA 95357-7680. This licensed professional license is not current. The license was granted 04/16/1996 and expired on 11/01/2008.

California

Department of Consumer Affairs

KAISER HEALTH PLAN MODESTO PHY 831
Pharmacies
License number
41599
Date granted
04/16/1996
Date expires
11/01/2008
Class
Pharmacies
Status
Canceled
Address
1625 I STREET MODESTO CA 95357-7680
californialicensing.org
ID 11696588
LAST UPDATED 2024-05-02 13:00:12 UTC

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